1 January 2017 ProHealth Provider Relations Update I NSIDE T HIS I SSUE : 1 New & Terming Plans - 2017 1 New Provider Credentialing 2-3 New Providers, effective 2/1/2017 4 Termed Providers 5-6 2017 E/M Boot Camp 7-8 PMCC 2017 9 VHG - Healthcare & Business Consulting 10 Provider Relations Staff Directory New Payors for CHNw Employed/CPN Providers: CareSource Medicaid/HIP, effective 1/1/2017 - (ALL Employed/CPN providers, no PA’s or Ls) CareSource Hoosier Choice (MarketPlace Exchange Plan), effective 1/1/2017- (ALL Employed /CPN providers) IU Health Plan (Commercial/Employed Plan), effective 1/1/2017 - (ALL Employed/CPN Providers) IU Health Marketplace (MarketPlace Exchange Plan), effec- tive 1/1/2017 - (ALL Employed/CPN providers) Your Choice (MarketPlace Exchange Plan), effective 1/1/2017 - (ALL Employed /CPN providers) Payors Terming, effective 12/31/2016: Assurant Health Advantage 360 PHP Marquee Advantage HMO UHC Marketplace St V-CHN EPO New Partnership with Walgreens in 2017: Community Health Network has partnered with Walgreens to provide more convenient pharmacy services for employees and patients. There are now three Walgreens stores located on the campuses of Community Hospitals East, North, and South. These Stores make it easy for patients to fill their prescriptions as they leave provider appointments at adjacent medical offices, or as they are discharged from the hospital. Walgreens also plans to expand the bedside delivery program at Community hospitals to help patients successfully transition back to their homes. Walgreens is now the preferred pharmacy provider for those on Community Health Network medical insurance plans (Gold & Silver plans). Members receive the lowest copays when they fill their prescriptions at Walgreens, and have access to 8,200+ Walgreens locations across the country, with many of them open 24/7. Walgreens is the preferred specialty pharmacy as well. Credentialing of New Providers: *Please Note* Credentialing through ProHealth for ALL new providers can take anywhere from 90-120 days from notification to completion. The Credentialing fee has increased to $200 for ALL new providers wishing to join the Community/ProHealth network, effective 11/1/2016. ProHealth Credentialing/Enrollment Supervisor: Jenna White [email protected]Phone#: (317)621-9312
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January 2017 ProHealth Provider Relations UpdateJanuary 2017 ProHealth Provider Relations Update INSIDE THIS ISSUE: (ALL Employed/CPN providers, no PA’s or Ls) 1 New & Terming Plans
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January 2017
P r o H e a l t h P r o v i d e r R e l a t i o n s
U p d a t e
I N S I D E T H I S I S S U E :
1 New & Terming Plans - 2017
1 New Provider Credentialing
2-3 New Providers, effective
2/1/2017
4 Termed Providers
5-6 2017 E/M Boot Camp
7-8 PMCC 2017
9 VHG - Healthcare & Business
Consulting
10 Provider Relations Staff
Directory
New Payors for CHNw Employed/CPN Providers:
CareSource Medicaid/HIP, effective 1/1/2017 - (ALL Employed/CPN providers, no PA’s or Ls)
Phone Number w/Area Code (_____)________________________
Refund Policy: The registration fee is refundable if requested up thru the registration deadline. All cancellations and requests for refunds must be in writing by sending an email to [email protected].
Final Exam Friday September 22, 20178:00 am – 5:00 pm
Course Fee $3,100.00
$750.00 required with registration.
Fee will be applied to course fees.
10% Discount if paid in-full by the first class!!!
Community Health Network Employees qualify for a special discount
Certified Professional Coder - Registration Information
An Exam Preparation Course for 2017 - Presented by Visionary Health Group
Looking for an opportunity to reach a higher level of skill and recognition in the field of medical coding? We invite you to attend our comprehensive 24-week certification prep course.
The Professional Medical Coding Curriculum (PMCC) is geared toward learning the proficiency required to correctly code CPT®, HCPCS and ICD-10-CM for medical procedures performed by the physician. After passing the AAPC certification exam, students with at least 2-years previous work experience in the field will be recognized as a Certified Professional Coder (CPC). Those who have not yet gained this experience will be recognized as a Certified Professional Coder Apprentice (CPC-A). Upon completion of the 80+ hour PMCC course and one year experience has been obtained, the apprentice status will be removed by the AAPC.
This course is not an introductory class and is designed for those who have experience with medical billing, coding, physician office and/or have experience in a field using medical terminology, anatomy and physiology. Study time both inside and outside of class is required.
The $3,100.00 course fee includes:
24-Week Classroom Instruction by an AAPC Certified Coding Instructor
Professional Medical Coding Curriculum (PMCC) Medical Coding Train-ing Manual and Practical Application Lab Book
AAPC Student Membership
AAPC CPC Exam Fee
2017 CPT Professional Edition
2017 HCPCS Level II Expert
2017 ICD-10-CM Expert for Physicians, Vol. 1&2
How do I register?
Three easy ways to register. Email, US Mail or Phone. See “PMCC 2017-Registration Form” for details. Upon receipt of the registration and $750 deposit, you will receive confirmation with further information.
No registration will be confirmed without the deposit of $750.
How do I pay for the course?
The $750 registration deposit applies to the course fees.
We accept cash, checks, VISA, MasterCard, and Discover.
You may pay in-full, at any time, or we offer monthly and bi-weekly payment plans that are designed to pay-off before the end of the course. If interested, please ask for payment plan details.
SPECIAL INCENTIVE – PAY THE ENTIRE COURSE FEES BY THE
FIRST CLASS AND RECEIVE A 10% DISCOUNT!!
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PMCC 2017 – April Registration Form
Details Location : 6626 East 75th St. Indianapolis, IN Days / Times : Thursday – April 6 – Sept. 14, 2017 4:30 pm – 9:00 pm Final Exam : Friday, September 22, 2017 8:00 am – 5:00 pm Course Fee : $3,100.00 $750 deposit required with registration 10% discount if paid in-full by the first class!! Community Health Network employees qualify for a special discount
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Visionary Health Group veicorp.com/consulting Are you an independent practice that needs consulting/financial help? ...
Integrated physician consulting services
A division of VEI since 1987, Visionary Health Group (VHG), formerly known as Indianapolis Medical Management
(IMM), has provided physician practice management and consulting services for more than 20 years. VHG prides itself
in providing comprehensive, tailor-made services that meet and exceed the needs of its physician clients. VHG’s con-
sulting and evaluation services have been designed to objectively evaluate every aspect of a medical practice and to
provide realistic solutions to the challenges faced by physicians today. VHG offers a diverse team of skilled individuals
to assist you with your various practice needs.
*Complimentary business assessment available upon request*
Consulting and practice operations
Business healthcare consulting
Revenue cycle management
Documentation and coding experts
Financial consulting and reporting
Payer credentialing and enrollment Practice/business start-up
Full suite of human resource services
OSHA/HIPAA compliance
Project management
Process improvement
Development of policy and procedures
Please Contact: Joni A. Reed, MBA, BSBA, ASB, CMA Business Consultant Physician Services Ph#: (317)621-1539 [email protected] Anita Huse, RN, CAPPM Business Consultant Physician Services Ph#: (317)621-4090 [email protected] Jamie L. McAllister, MA Account Coordinator Ph#: (317)621-7521 Fx#: (317)957-2794 [email protected] Tara Reiman Director Provider Operations, Practice Management Ph#: (317)621-7066 [email protected]